Dropped by
a Broken Toe shaman (Runnyeye: The Gathering)
a crypt guardian (Sebilis)
a displaced Runnyeye goblin (Runnyeye: The Gathering)
a flammed secernment (Chelsith)
a Grungetalon clawer (Runnyeye: The Gathering)
a Grungetalon scratcher (Runnyeye: The Gathering)
a Nak'azar rearguard (Chardok)
a Runnyeye elite (Runnyeye: The Gathering)
a Sandscrawler patcher (Runnyeye: The Gathering)
a tormented soul (Sebilis)
a Yha-lei sentinel (Chelsith)
a Yha-lei vindicator (Chelsith)
Bbal'Gaz the Enthraller (Chelsith)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Eldrig the Young (Jarsath Wastes)
Gear of the Ancients (Charasis: Maiden's Chamber)
General V'Deers (Jarsath Wastes)
Gok'Chai the Substantiator (Chelsith)
High Commander Ziz (Jarsath Wastes)
Imperial Crypt Guardian (Sebilis)
Korucust (Court of Korucust)
Kotiz the Death Bringer (Sebilis)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Consuma (Chelsith)
Leviathor'Tentar (Chelsith)
Queen Velazul Dizok (Chardok)
The Blue Baron (Chelsith)
Uth'Gak the Grand Devotor (Chelsith)

Confirmed Locations
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Mobs that drop this item also drop